Ice Aberdeen - Learn to Skate Adult Application Form

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1. Your Details:
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This agreement is made on the terms set out below between Sport Aberdeen, Broadfold House, Broadfold Road, Aberdeen, AB23 8EE; Registered Charity No. SC040973 (hereinafter referred to as The Club) ("we" and "us") and "you" the member named below.

Please be advised that completion of the application form does not guarantee you/your child space. If classes are full you will be placed on a waiting list until a space is available.

Your details (if over 16 years) *

Forename	*
Surname	*

Contact Details *

Address	*
City/Town	*

Post Code *

Your telephone number *

Your email address *

Date of Birth *

	DD/MM/YYYY

Ice Aberdeen - Learn to Skate Adult Application Form

1. Your Details:
Page 1 of 4

Your details (if over 16 years) *

Contact Details *

Post Code *

Your telephone number *

Your email address *

Date of Birth *

Emergency Contact Name: *

Emergency Contact Number: *

Does you have any medical conditions we would need to know about.

Ice Aberdeen - Learn to Skate Adult Application Form

1. Your Details:Page 1 of 4

Your details (if over 16 years) *

Contact Details *

Post Code *

Your telephone number *

Your email address *

Date of Birth *

Gender: *

Emergency Contact Name: *

Emergency Contact Number: *

Does you have any medical conditions we would need to know about.

1. Your Details:
Page 1 of 4